Revision Surgery in Total Hip Arthroplasty

Front Matter....Pages i-xvii
Introduction....Pages 1-4
Front Matter....Pages 5-5
Haematoma....Pages 7-10
Problems Arising from an Inadequate Exposure....Pages 11-18
Trochanteric Osteotomy and Problems Resulting from It....Pages 19-28
Dislocation....Pages 29-46
Infection....Pages 47-61
Loosening of the Components....Pages 63-70
The Socket: Changes at the Bone—Cement Interface....Pages 71-79
Loosening of the Socket....Pages 81-86
Wear of the Socket....Pages 87-97
Tissue Reaction to High-Density Polyethylene Wear Particles....Pages 99-103
Metal Backing of the Socket....Pages 105-107
Loosening of the Stem....Pages 109-123
Fracture of the Stem....Pages 125-138
Fracture of the Shaft of the Femur....Pages 139-143
Heterotopic Ossification....Pages 145-151
Front Matter....Pages 153-153
Timing of Revision Surgery....Pages 155-161
Assessment of the Patient....Pages 163-168
Instrumentation for Revision Surgery....Pages 169-174
Selection of Components....Pages 175-177
Front Matter....Pages 153-153
Revision Surgery: The Technique....Pages 179-190
Revision with Trochanteric Non-union: Reattachment of the Un-united Trochanter....Pages 191-192
The Femur....Pages 193-199
Loss of Bone Stock....Pages 201-207
Wound Closure....Pages 209-211
Post-operative Management....Pages 213-213
Front Matter....Pages 215-215
Girdlestone Pseudarthrosis for a Failed Total Hip Arthroplasty....Pages 217-219
Pulmonary Embolism....Pages 221-224
Front Matter....Pages 225-225
Conclusions....Pages 227-227
Back Matter....Pages 229-236